Individual
MRS. MELINDA MARIE GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
100 VILLAGE CENTER DR STE 220, NORTH OAKS, MN 55127-3014
(651) 482-8486
Mailing address
5982 HIGHVIEW PL, SHOREVIEW, MN 55126-8484
(651) 484-1535
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5406
MN
Other
Enumeration date
03/16/2006
Last updated
12/26/2009
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